Avaliação da segurança no cuidado com vacinas: construção e validação de protocolo

Abstract

Objective: to elaborate and validate a protocol for evaluating the safety of nursing care with vaccines during primary care. Methods: methodological research developed in two stages: protocol elaboration and content validation; and using the instrument, through the Delphi technique. The evaluation of the instrument was calculated by the Content Validity Coeffi cient, considering items above 70% of concordance among judges. Results: the instrument obtained a concordance index for the eight questions analyzed in the fi rst stage. Its application in the practice of primary care services was recommended by 75% of the judges in the second Delphi stage. Conclusion: the protocol for safety in nursing care with vaccines proved a high credibility and its adoption in health institutions can contribute to the quality of vaccine care and the conduct of professionals. ResumoObjetivo: Construir e validar um protocolo para avaliação do cuidado seguro de enfermagem com vacinas na atenção primária. Métodos: Pesquisa metodológica desenvolvida em duas etapas: construção do protocolo e validação de conteúdo e aparência do instrumento, através da técnica Delphi. A avaliação do instrumento foi pelo cálculo do Coefi ciente de Validade de Conteúdo, tendo sido considerados válidos os itens com mais de 70% de concordância entre os juízes. Resultados: O instrumento obteve um índice de concordância para os oito quesitos analisados já na primeira rodada e sua aplicação na prática dos serviços de atenção primária foi recomendada por (75%) dos juízes na segunda rodada Delphi. Conclusão: O protocolo para a segurança do cuidado de enfermagem com vacinas demonstrou alta credibilidade e sua adoção nas instituições de saúde pode contribuir para a qualidade da assistência com vacinas e das condutas dos profi ssionais. ResumenObjetivo: Construir y validar un protocolo para la evaluación del cuidado seguro de enfermería con vacunas en la atención primaria. Métodos: Investigación metodológica desarrollada en dos etapas: construcción del protocolo y validación de contenido y apariencia del instrumento, a través de la técnica Delphi. La evaluación del instrumento fue por el cálculo del Coefi ciente de Validez de Contenido, habiendo sido considerados válidos los ítems con más del 70% de concordancia entre los jueces. Resultados: El instrumento obtuvo un índice de concordancia para los ocho temas analizados ya en la primera ronda y su aplicación en la práctica de los servicios de atención primaria fue recomendada por el 75% de los jueces en la segunda ronda Delphi. Conclusión: El protocolo para la seguridad del cuidado de enfermería con vacunas demostró alta credibilidad y su adopción en las instituciones de salud puede contribuir a la calidad de la asistencia con vacunas y conductas de los profesionales.

Validation methods of nursing protocols: an integrative review

“…From reading the articles, data emerged concerning protocol creation. All articles mention the literature review as part of protocol creation, be it a simple or structured literature review, such as integrative (12)(13)(14)(15) and systematic (16)(17) reviews, with emphasis on scoping reviews (4,6) . In some articles, literature review is associated with another type of data collection, such as interviews (18)(19)(20)(21) and group discussions (22)(23)(24) .…”

“…Selection of participants mostly took into account criteria for title, experience and knowledge on the subject under study, in addition to studies in the field. Six studies made a selection based on the search for curricula in the Lattes Platform (4,6,13,(25)(26)(27) . three used scoring systems for curriculum assessment (4,6,13) ; three used snowball sampling (16,(28)(29) , in which one participant indicates the next; and the others did not detail the form of selection, only the inclusion and exclusion criteria.…”

“…Avaliação da segurança no cuidado com vacinas: construção e validação de protocolo (6) 2019 Brazil Vaccine care Delphi Technique 1 st round: 12 2 nd round: 8…”

“…Considering that protocols constitute a foundation for professional conduct, their construction must be carried out with methodological rigor in order to guarantee its credibility and legitimacy. To this end, validation is recommended, which assesses whether the content of protocols achieves the proposed objectives (6)(7)(8) . Validation is widely used in nursing literature; however, there is no consensus on the best method to be used (7) and how it should be structured.…”

Validity of an instrument to evaluate the immunobiological cold chain

“…Importantly, there is the Protocol to assess nursing safe care with vaccines in primary care (29), whose goal is to assess the nursing safe care with immunobiologicals in primary care. Nevertheless, the existing instrument differs from the SaIC concerning its constructs, being the SaIC responsible for measuring the maintenance of the cold chain of immunobiological conservation in immunization rooms, which defines it as the first instrument with such goal.…”